Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Valley Pediatric Center

Organization Pediatric Nurse Practitioner · NPI 1740481837

South Valley Pediatric Center is a Pediatric Nurse Practitioner in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2007.

Licensed in
NV
In the registry since
2007

Practice location Address checks out

2610 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-2869
Phone: (702) 492-0004
Fax: (702) 492-0006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APN000878 (NV)

Record details

NPI number1740481837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gale Koch — Owner · (702) 492-0004
NPI enumeratedMay 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2610 W Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052-2869

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